Superbug outbreaks
Have you been contacted about the outbreak at UCLA’s Ronald Reagan Medical Center or Cedars-Sinai Medical Center? Or do you think you might have been affected?
Sign in to Google to save your progress. Learn more
Tell us your story *
Name *
Phone number
We may wish to contact you regarding your story. The Times will not publish or share this phone number.
Email address *
We may wish to contact you regarding your story. The Times will not publish or share this email address.
Current city and state *
Los Angeles Times Terms of Service *
By submitting you agree to latimes.com's Terms of Service, reviewable at the following links: http://lat.ms/times-tos and http://lat.ms/times-privacy
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report